How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $977.24 Median $5,888.44 Typical High $8,912.51 | Facility | None | $977.24 | $5,888.44 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,659.59 Median $3,981.07 Typical High $10,232.93 | Facility | None | $1,659.59 | $3,981.07 | $10,232.93 |
BCBS Arizona Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $4,265.80 | Professional | None | $2,630.27 | $2,630.27 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $3,981.07 Typical High $7,585.78 | Facility | None | $2,398.83 | $3,981.07 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $3,235.94 | Professional | None | $1,819.70 | $2,137.96 | $3,235.94 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $4,265.80 Typical High $9,332.54 | Facility | None | $1,071.52 | $4,265.80 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $2,344.23 Typical High $15,848.93 | Professional | None | $1,778.28 | $2,344.23 | $15,848.93 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $6,309.57 Typical High $9,772.37 | Facility | None | $1,096.48 | $6,309.57 | $9,772.37 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $1,995.26 Typical High $3,235.94 | Professional | None | $1,737.80 | $1,995.26 | $3,235.94 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,445.44 | $1,445.44 |
Where Arizona sits
The same service costs 9.1 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arizona· 37th of 51
$2,344
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.